How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $501.19 | Facility | None | $147.91 | $269.15 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $407.38 | Professional | None | $147.91 | $147.91 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $602.56 | Facility | None | $263.03 | $323.59 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $354.81 | Professional | None | $134.90 | $151.36 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $112.20 Typical High $144.54 | Professional | UE · Used equipment | $100.00 | $112.20 | $144.54 |
Aultcare Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $275.42 | Facility | None | $138.04 | $208.93 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $371.54 | Professional | None | $177.83 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $141.25 | Facility | None | $134.90 | $134.90 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $141.25 | Facility | None | $134.90 | $134.90 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $218.78 | Professional | None | $117.49 | $162.18 | $218.78 |
SummaCare Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $457.09 | Professional | None | $281.84 | $309.03 | $457.09 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Facility | None | $281.84 | $281.84 | $398.11 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $199.53 | Professional | None | $91.20 | $131.83 | $199.53 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | RR · Rental | $14.79 | $14.79 | $16.22 |
Where Ohio sits
The same service costs 2.3 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 36th of 51
$148
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.